Powderly, Brian

Powderly, Brian is an sole proprietor health care provider with primary practice located at 2675 36Th St , Parkersburg WV 26104-8024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Powderly, Brian can be contacted via phone (304) 422-8112.

Contact Information

Primary practice address
2675 36Th St Parkersburg WV 26104-8024
Phone: (304) 422-8112
Fax: (304) 422-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14380 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35076176P Ohio

Profile Details

NPI number 1134196835
LBN Legal business name Powderly, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Jul 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196835 NPPES
Ohio MEDICAID 2125417
Ohio Other 000147520
Ohio MEDICAID 0057420000
Ohio Other 110019344

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